HomeMy WebLinkAboutHomestead_Loveless (6) STATE IORM 53R•1R:/14N1 TREASURER FORM 1-IA
MR 11PORTANT NOTICE TO IDEMRINIENT OF LOCAL
PROPERTY ROWNERS
Gibson County Auditor
101 N Main �.
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than her for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This informatinn will he kept confdervill anti can only be accessed by authorized county officials.The Depannxnt of
Local Government Finance will use this information to create toils that will help county officials eliminate homestead fraud.
PART 1: PROPERTY IINFORMATION
Taxpayer Name Property Address
Loveless, Carolyn
310 Wilson Avenue
Princeton IN 47670
3251
Carolyn Loveless
310 Wilson Avenue State Parcel Number Lezal Description
Princeton IN 47670-3122
�tI ��ttt�t��tt�ttt��� ��tttt��tt�t�tt�tittttill t�ttt�� 26-12-08-203-001.657-028 019-01657-00 DIKE SUB DIV#2 LOT 8
(7.7
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
CCLY.0 y h s. Lov,e.I e,SS
•g Address(number and street,city,state,and ZIP code) Same ns property address—— -- ---
310 = •n Av e e �r\nce� n 47107D
First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as propeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sox
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
•
FOPM HC tU 1979 - To & FiIN in Dupliwte
Rescribe0 By Sta�e BwrO al Tax Commissioner5
CLAIM FOR HOMESTEAD PROPERTY TAX CAEDIT f0A YEAR 19� %'' ��
SEE BACK FOR FILING INSTRUCTIONS (AM/�"'f'�ro
(We) �£ ea�o�u n �.oi�� �asS certify that on the 1st day of
j��. .. arch, 19 � I, (We) occupied as our principal place of residence the following described real property for
� w h i c h a H o m e s t e a d P r o p e rt y T a x C r e d i t i s h e r e b y b e i n g c l a i m e d: '
I, (We) Q"owned O'�- ���`5���� �/
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in G��1son County �a-��u- � Township
Taxing District (City, Town, Township): ��'incalrn /�+�7nex /O
Parcel Number or legal description shown on tax statemeni:
{j
/�. �GA � ' E f
If buying on contract:. Owners name ��� simv�e owner� ��
Contract recorded in Recorders Office - Record No
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
certify the above statement is true, correct and comptete.
County Township
'Sy�umre Sveet noaress Ciry. Scate ann Zip Coae
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE.ONLY -
not exceeding 1(one) acre immediately
inding residential improvements
Land � T T Fj �
Land � ��-a J.=e
Residential Improvements JU� 21 19%9 Dwelling
Garage
� �/�rtic.Q� Total
Other Improvemenls �� AUDITOR
'���provements - Line (6) plus (7) equals (8)
.� i certify the above is irue. correct. and complete.
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al Fsseuor
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